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SalaryYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Identify, negotiate and manage high performing provider and vendor partnerships.
Negotiate vendor or provider contracts and manage implementations and ongoing relationships.
Perform market research and analysis as directed.
Define, initiate, and direct financial analyses and operational reporting for the assigned vendor and provider agreements.
Lead, manage, and track ongoing financial and operational success of designated partnership.
Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with local health plans and other applicable internal teams.
Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.
Coordinate contract activities, including contract development, negotiation and maintenance.
Monitor provider contracts to ensure terms and conditions are met.
Create, negotiate and incorporate contract amendments, renegotiating the contract to accommodate scope changes or changes in organization requirements.
Maintain a thorough working knowledge of plan products, benefit packages, policies and procedures, and interprets this information to contracted providers.
Education/Experience: Bachelor's degree in Business Administration, Marketing, Finance or related field or equivalent experience. 6+ years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care or similar industry. Experience negotiating contracts with successful outcomes and measurable financial results. Experience with presenting and communicating negotiation strategies and results at senior levels. Experience with health care provider negotiations for Government programs preferred.
Candidates must reside in California to be considered for this role. This position will allow for mostly remote work, but will also require occasional in-office meeting attendance in Woodland Hills, CA as well as occasional travel to providers offices in Los Angeles, Ventura, Santa Barbara, San Luis Obispo, Kern, Orange, Riverside, and San Bernardino counties.
Pay Range: $82,600.00 - $148,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
